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A comparative study of the psychological problems of HIV-infected andHIV-uninfected children in a South African sample

机译：南非样本中艾滋病毒感染的艾滋病毒感染性心理问题的比较研究

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According to research children living with HIV experience elevated levels of depression, anxiety, ADHD and disruptive behavioural disorders. Although South Africa's paediatric population that is infected with the human immunodeficiency virus (HIV) is the largest worldwide, little research has been conducted on their mental health challenges. However, attributing high levels of mental health problems solely to their HIV status can be problematic as there may be other contributory factors. This research explored the mental health problems of HIV-infected children and compared these to the mental health problems of their HIV-unaffected peers from similar backgrounds. Data was gathered from two samples of child and caregiver pairs. HIV-infected children (aged 6-12 years) and their caregivers/mothers (n=54) were recruited from the Kalafong paediatric clinic where they received medical treatment and routine ART. A comparison group of 113 HIV-uninfected children and their uninfected mothers were recruited from primary care clinics in the same community. Caregivers completed the Child Behaviour Checklist (CBCL) to assess children's mental health. Children completed the Self-Description Questionnaire (SDQ-I) and the Revised Children's Manifest Anxiety Scale (RCMAS). The scores of the psychometric sub-scales of the two groups were compared using parametric and non-parametric statistics. HIV-infected children experienced more somatic and affective problems, physiological anxiety, less ADHD and lower self-esteem than HIV-uninfected children in the comparison group, while controlling for age differences. The high levels of mental health problems of both groups of children may be attributed to similar difficult socio-economic circumstances. The fact that most infected children were not aware of their HIV-status could have influenced the results. Mental health services should not be limited to HIV-infected children but should form part of all health care services.
机译：据研究儿童患有艾滋病毒症，体验较高的抑郁症，焦虑，ADHD和破坏性行为障碍。虽然南非人类感染人类免疫缺陷病毒（艾滋病毒）的儿科人口是全球最大的人口，但在心理健康挑战上进行了很少的研究。然而，仅归因于他们的艾滋病毒状态的高水平的心理健康问题可能是有问题的，因为可能存在其他有贡献因素。本研究探讨了艾滋病毒感染儿童的心理健康问题，并将其与他们的艾滋病毒过受影响的同龄人的心理健康问题相比。从儿童和照顾者对的两个样本收集数据。受艾滋病毒感染的儿童（6-12岁）和他们的护理人员/母亲（n = 54）被招募了Kalafong儿科诊所，他们获得了医疗和常规艺术。 113名艾滋病毒未感染的儿童及其未感染的母亲的比较组是在同一社区的初级保健诊所招募的。护理人员完成了儿童行为清单（CBCL）以评估儿童的心理健康。儿童完成了自我描述问卷（SDQ-I）和修订的儿童清单焦虑尺度（RCMAS）。使用参数和非参数统计进行比较这两组的心理测量子标度的分数。艾滋病毒感染的儿童在比较组中经历了更具体细胞和情感的问题，生理焦虑，少和自尊而不是艾滋病毒未感染的儿童，同时控制年龄差异。两组儿童的精神健康问题可能归因于类似的社会经济情况。大多数受感染者都不知道他们的艾滋病毒状态可能会影响结果。心理健康服务不应限于艾滋病毒感染的儿童，但应成为所有保健服务的一部分。

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